Obstetric Training Simulator -complete set-

MW40

Contents

Before You Start Set Includes/DOs and DON’Ts

Manufacturer’s Note

Preparation

P.２

P.３～P.５P.６～P.７Training Sessions

After Training

P.３

P.８～P.９

Introduction P.１

Instruction Manual

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Caution

《Cervical Examination》

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Preparation P.10～P.13P.14～P.15Training Sessions

After Training P.16

《Delivery Assistance》●

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Preparation P.17～P.18P.19Training Sessions

After Training P.19

《Perineorrhaphy》●

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Do not mark on the model and other components with pen nor leave printed materials contacted on surface.Ink marks on the models cannot be removed.

Caution

Handling and Storage

1

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Manufacturer’s NoteIntroduction

The Obstetric Training Simulator ‒complete set- is a comprehensive training set with the plat form of maternal body for training in skills including cervical examination, delivery assistance and perineal repair.

This Obstetric Training Simulator has been developed for the training of medical and paramedical professionals only. Any other use, or any use not in accordance with the enclosed instructions, is strongly discouraged. The manufacturer cannot be held responsible for any accident or damage resulting from such use. Please use this model carefully and refrain from subjecting to any unnecessary stress or wear. Should you have any questions on this simulator, please feel free to contact our distributor in your area or KYOTO KAGAKU at any time. (Our contact address is on the back cover of this manual)

Features

Training Skills

Read before use

○ True-to-life training experience in delivery assistance including perineal protection, delivery of fetus and placenta.

○ Genital area excels in elasticity, durability and resilience.

○ Anatomically correct vaginal canal, ischial spines and pubic joint that facilitate training with anatomical understanding through direct observation, as well as palpation.

○ 5 stages of cervical dilation can be set for palpation by interchangeable modules.

・Single interrupted suture・Vertical mattress suture

Perineorrhaphy

○ The maternal body serves as a platform for an array of midwifery skills in delivery stage, including cervical examination, delivery assistance, perineal repair (perineorrhaphy).

《Delivery Assistance》 《Perineal Repair》

※ Be sure to refer the handling and storage instructions on page 3 and always follow them.

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Delivery assistance for different delivery positions (dorsal, all-fours)Perineal protection, anal sphincter protection Delivery of fetus (forceps delivery, vacuum extraction) Clamping, tying and cutting of the umbilical cordDelivery of placentaInspection of velamenProcedure of urinary catheterization

Speculum examination●

・Determination of bishop score (cervix score) using landmarks of the ischial spines and the pubic symphysis

Cervical Examination《Cervical Examination》●

・Assessment of cervical dilation・Procedures of urine catheterization・Procedures cervical cytology

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Set IncludesBefore You Start

Be sure not to drop or add shock to the manikin and its components, since the product uses special resins and heavy, such shock may cause damage to the products or environment.

● Handle the manikin and the components with care.

● Never use organic solvent like paint thinner to clean the skin, as this will damage the simulator.

● Do not let ink from pens, newspapers, this manual or other sources contact with the manikin, as they cannot be cleaned offthe manikin skin.

● Even if color on its surface might be changed across the ages, this does notaffect the quality of its performance.

● Storage in a dark, cool and dry space will help prevent the skin colors from fading and product from deforming.

● The manikin skin may be cleaned with a wet cloth if necessary, using mildly soapy water or diluted detergent.

Set IncludesBefore you start, ensure that you have all components listed below.

a. Pregnancy torso １１

１

１１

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３１

１

３b. Genitalia unit (for pelvic examination and delivery assistance)

c. Fetus

d. Placentae. Umbilical cordf. Umbilical cord for omphalotomy

g. Velamen sheet

l. Lubricant

n. Vatm. Talcum powder

１１

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h. Vagina unit

j. Cervical dilation module

１Genitalia unit (for perineorrhaphy)

i. Holder for cervical dilation module

Instruction manual

a

b

c

d

ef

k

j

l

m

gh

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n

k.

DO’ s and DON’ Ts

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Caution

○ Apply talcum powder on the parts below, cover them with includednon-woven bag and store them in the storage box.

○ Maintain proper temperature, humidity and avoid direct sunlight of the storage room of simulators.

Be sure to monitor the indication sticker on the storage box of the product.Store the simulator below 60 degrees C.Change the storage place immidiately when the temperature indicator shows color circles as below.*The color circles are irreversible.

Handling and Storage

PLEASE READ :

○ Do not let the parts contact with other resin items and printed materials.These soft material of the parts may be deformed by contact with other resin items and marked by contact with printed material and they cannot be repaired.

3F60 年 月貼付

60 65 70

3F60 年 月貼付

60 65 70

Before After

Genitalia unit(for pelvic exam anddelivery assistance）

Umbilical cord Vagina unit

Genitalia unit（for perineorrhaphy）

Placenta

AFTER USE:

Always follow the handling and storage instruction below, to keep the material with itselasticity and durability.

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Preparation Delivery Assistance

Setting up the Fetus

2. Take out the placenta from the storage bag to attach umbilical cord. Connect the screw side of umbilical cord to the placenta and turn it clockwise to fix.

Prepare the fetus, placenta, umbilical cord, umbilical cords for omphalotomy, velamen sheet, vat and lubricant.

4. Take out the umbilical cord for omphalotomy from the storage bag. Reverse the tip of it to show the hook, and engage it to the hook at the umbilical cord from the placenta.

1. Setting up the Fetus

3. Insert the umbilical cord into the hole located at the center of the velamen sheet.

Fetus Placenta Umbilical Cord

Umbilical Cord for Omphalotomy

Velamen Sheet Vat Lubricant

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Preparation Delivery Assistance

4. Loosen the white screw to remove the plate on the fetal abdomen, and take out the clip from there.

5. Pinch the tip of umbilical cords for omphalotomy with the clip. Put it back to the fetal abdomen, and fix umbilical cords for omphalotomy to the abdomen by the plate with the white screw.

6. Fetus is ready for training.

※Place the clip in the direction shown in the above picture.

Setting up the Fetus

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Preparation Delivery Assistance

2.Apply lubricant to the internal surface of the genitalia unit, too.

※The genitalia unit can be lubricated after attaching to the maternal body.

Lubrication

1. Put the assembled fetus in the vat included in the set. Apply lubricant to it entirely including the velamen sheet and the placenta.

Before training, apply lubricant to the genitalia unit, placenta, and umbilical cords for omphalotomy completely.

1.Remove the abdominal cover from the body.The abdominal cover and body are attached with four magnets.The abdominal cover can be removed it by lifting.

Assembly of the Maternal Body

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Preparation Delivery Assistance

3. Put back the abdominal cover to the maternal body, and set the fetus in it to complete set-up.　＊Always put the placenta on the vat during the training.

Assembly of the Maternal Body

＊Be careful not to pinch your finger between the maternal body and the genitalia unit.

2. Attach two nails of genitalia unit to two pits located under part of maternal body, and push on the top of the unit to fix.

Training Delivery AssistanceBirth PositionsKey Features

Birth Positions, Key Features

・Direct observation of the motion of fetus in delivery to understand the spatial relationship between pelvis and fetus.

Training can be conducted in two birth positions: dorsal and all-fours position.

Dorsal position All-fours position

《Key Features》

ischial spine ischial spine

pubic symphysis

coccyxpelvis

・Pelvis has pubic symphysis and ischial spines, which facilitates understanding of the spatial relationship between pelvis and fetus.

Station zero, the line that connect ischial spines can be recognized.

・Genitalia unit has excellent elasticity and resilience and birth cannel is optimal size for the fetus, which allows to deliver the fetus by a little pushing force holding the handle lightly.

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TrainingTraining skillsDelivery Assistance

○ Clamping, tying and cutting of umbilical cord

○ Perineal protection ○ Delivery assistance

Training skills

○ Delivery of fetus

○ Inspection of velamen and placenta○ Delivery of placenta

10

Delivery AssistanceAfter Training

After Training

After Training

○ Remove the genitalia unit

○ Disassembling the fetus

○ Cleaning and storage

1. Lift the abdominal cover to remove it from the maternal body.

1. Disengage the umbilical cord and placenta in reverse order of set-up. (See P.4-P.5)　

1. Wipe the lubricant left on the fetus, umbilical cord, placenta and genitalia unit away with wet paper tissue. If necessary, wash them by tap water, and dry them well naturally. After completely dried the components, apply talcum powder to each of them.

2. Pull back the top of the genitalia unit frame to remove from the body.

2. Genitalia unit, placenta and umbilical cord for omphalotomy are made of special soft resin. It is required to store them either in the storage bag or on the vat after training.

※If these parts are stored touching with other resin products or printed matter, the dent or ink might be left on the skin, and will become irremovable.

10

Preparation

Installation of cervical dilation module to the holder

1. Attach the cervical dilation module to the holder. Match the red point of holderwith slit of cervical dilation module

2. The lever on the holder becomes movableby pulling the black knob on the holder.Descent of the fetal head can be setby moving the lever back and forth.

※Descent of fetal head is settable inseven phases.

※Note: The cervical dilation module isto be mounted on the tip (smaller tip)of the stick, which is opposite to the handle.

Station －3 Station 0

Station 0

Station ＋3

＋１～＋３

－３～－１

11

Preparation

1. Remove the abdominal cover from the bodyThe abdominal cover and body are attached with four magnets. The abdominal cover can remove it by pulling.

Assembly of the maternal body

Note: Be careful not to pinch the finger between genitalia unit and maternal body.

2. Insert two projections of the genitalia unit in the holes of the maternal body.And push the upper part of the genitalia unit into the maternal body.

Cervical Examination

12

3. Attach the cervix unit to the maternal body noting its orientation.　Attach the abdominal cover to the maternal body by matching the magnet positions.

Preparation

Assembly of the maternal body

Lubrication

Cervical Examination

1. Apply the lubricant to the inside of the cervix unit, genitalia and cervical dilation module.

13

Cervical ExaminationPreparation

1. Attach the holder to the maternal body

Installation of cervical dilation module to the maternal body

Set the holder with the cervical dilation module to the maternal body.

2. Attach the abdominal cover to the maternal body by matching the magnet positions.

※Note: Engage the edges on the holder and the holes on the maternal body, and push the holder until clicking sound is heard.

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15

Training / Features

Training / Features

《Features》

○ Change of cervical dilation module

Ischial spine Ischial spineCoccys

Pelvis

・Station zero, the line that ischial spines can be recognized.・To determine the fetal position is possible by posterior fontanelle.

For the training for pelvic examination, put on gloves and apply lubricant to fingers.

Cervical dilation module has 5 variations

Unlock the holder with pulling the black knob on right and left of holder, then remove the holder from the maternal body. Change the cervical dilation modules and set the holder again.

No dilation

Complete dilation

1-2cm 3-4cm

5-6cm

Cervical ExaminationPreparation

Cervical Examination

After Training

After Training

○ Disassembly of the model1. Remove the abdominal cover from the maternal body.

4. Cervix unit is removed from the maternal body with pulling the upper part of frame in front.Wipe off the lubricant with wet wipes.

2. Unlock the holder with pulling the black knob on right and left of holder, then remove the holder from the maternal body.Wipe off the lubricant which attached to cervical dilation module with wet wipes.

3. Pull out the cervix unit in front with holding white frame on the cervix unit.Wipe off the lubricant with wet wipes.

※Also, these units are washable with water. Apply the talcum powder after having been dried enough.

The cervix unit and the genitalia unit are made from special soft resin. For storage, cover them with included non-woven bag and keep them in the storage box.

Caution: Do not mark on the model and other components with pen nor leave printed materials contacted on surface.Ink marks on the models cannot be removed.

16

17

Preparation

Change of genitalia units

Perineal Repair

1. Lift the abdominal cover to remove it from the maternal body.

2. Pull back the top of the genitalia unit frame to remove from the body.

○ Change to the genitalia unit for perineorrhaphy

Genitalia unit for perineorrhaphy

Genitalia unit for pelvic examination and delivery assistance

18

Change of genitalia units

Preparation

Note: Be careful not to pinch the finger between genitalia unit and maternal body.

3. Insert two projections of the genitalia unit in the holes of the maternal body.And push the upper part of the genitalia unit into the maternal body.

4. Attach the abdominal cover.

Perineal Repair

19

Training

Perineal Repair (Perineorrhaphy)

After Training

Single interrupted suture and vertical mattress suture are possible.

After Training

1. Remove the sutures for next training

2. When necessary change or replace the genitalia units following the instruction on page 17-18.

Perineal Repair

Repeated training in repairing the first-degree perineal tear.

1 genitalia unit (for pelvic examination and delivery assistance)

1 genitalia unit (for perineorrhaphy)

1 genitalia unit (for perineorrhaphy)

1 genitalia unit (for pelvic examination and delivery assistance)

11415-030

11417-020

10 umbilical cords for omphalotomy

10 umbilical cords for omphalotomy

11416-030

3 lubricant

3 lubricant11415-020

11416-010

1 fetus

1 fetus

5 velamen sheets

5 velamen sheets11416-040

1 placenta

1 placenta11416-020

Replacement

parts

Code Name Code Name

11415-010 1 set of cervical dilation module

1 set of cervical dilation module

Do not mark on the model and other components with pen nor leave printed materials contacted on surface.Ink marks on the models cannot be removed.Caution

■ ■(World Wide)

Kyoto Kagaku America Inc.

2017.07

The contents of the instruction manual are subject to change without prior notice.No part of this instruction manual may be reproduced or transmitted in any form without permission from the manufacturer. Please contact manufacturer for extra copies of this manual which may contain important updates and revisions. Please contact manufacturer with any discrepancies in this manual or product feedback. Your cooperation is greatly appreciated.

For inquiries and service, please contact your distributor or KYOTO KAGAKU CO., LTD.